DR. DIDI OMIYI M.D.
NPI 1467618561
Orthopaedic Surgery in Effingham, IL

Q: What is Didi Omiyi's NPI number?

The NPI number for Didi Omiyi is 1467618561. It was assigned to this individual provider in the NPPES registry on July 29, 2008.

Q: What is Didi Omiyi's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Didi Omiyi was last updated on January 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 29, 2008PECOS EnrolledAccepts Medicare Assignment

91.8/100

CMS Quality Rating

1303 W EVERGREEN AVE STE 200, EFFINGHAM, IL 62401(217) 342-3400(217) 342-3477 Get Directions Write a Review

NPPES record last updated: January 27, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 27, 2022, Feb 21, 2020, Jan 4, 2019 and 1 more (4 updates tracked since 2017).

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About Dr. Didi Omiyi M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DIDI OMIYI M.D. (NPI 1467618561) is an individual orthopaedic surgery provider in Effingham, Illinois, licensed in Illinois (036134772) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and is a graduate of Northwestern University Feinberg Medical School (2008).

NPPES Registry Identity

NPI1467618561

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. DIDI OMIYICredential: M.D.

Location Address1303 W EVERGREEN AVE STE 200Effingham, IL 62401-1638

Mailing Address1005 Health Center Dr Ste 201Mattoon, IL 61938-4653 · (217) 868-2812

Phone(217) 342-3400

Fax(217) 342-3477

Sole ProprietorNo

Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2008

Enumeration DateJuly 29, 2008

Last NPPES UpdateJanuary 27, 20224 updates tracked since enumeration

NPPES CertifiedJanuary 27, 2022

✔ NPI 1467618561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in IL · 036134772

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License 036134772 (IL)

1303 W EVERGREEN AVE STE 200, Effingham, IL 62401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Didi Omiyi M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082833538

PECOS Enrollment IDI20140915001535

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Didi Omiyi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sarah Bush Lincoln Health Center

29 mi

Family Medicine

1000 HEALTH CENTER DR
Mattoon, IL 61938

Reassigned Medicare billing, Illinois enrollment
652 clinicians in this Medicare group

NPI 1568581379 (217) 258-2525

Riverside Health System

142 mi

Psychiatry

500 N WALL ST, SUITE 200
Kankakee, IL 60901

Reassigned Medicare billing, Illinois enrollment
381 clinicians in this Medicare group

NPI 1336354430 (815) 937-1237

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

348 services38 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

275 services206 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

194 services169 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

100 services91 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

79 services68 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

68 services66 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

43 services43 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

27 services27 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

23 services23 patients

Revision of component of total knee joint prosthesis 27486

A revision of a total knee joint prosthesis is a procedure performed to replace a previously implanted knee joint that is not functioning properly. This could be due to wear, loosening, infection, or other issues. The goal is to restore mobility and alleviate pain.

19 services18 patients

Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less 97605

This procedure, known as Negative Pressure Wound Therapy, involves a special bandage and vacuum pump. The bandage covers your wound and the pump creates a vacuum, enhancing healing by removing excess fluid and promoting tissue growth. The surface area treated is 50.0 sq cm or less.

13 services11 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

13 services13 patients

Treatment of broken neck of thigh bone with bone implant 27245

This procedure involves repairing a fractured thigh bone by inserting a bone implant. The implant helps stabilize the bone, allowing it to heal correctly. It's performed under anesthesia and requires a hospital stay for recovery.

12 services12 patients

Manipulation of knee joint under anesthesia 27570

Manipulation of the knee joint under anesthesia is a procedure done to improve knee mobility. You are put to sleep and the doctor moves your knee in different directions to break up scar tissue. This helps to increase range of motion and reduce stiffness.

12 services11 patients

Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement 27236

This procedure involves treating a fracture at the top of your thigh bone. A stabilizing device or prosthetic replacement is placed to aid in healing. This helps restore mobility and function while reducing pain. The treatment aims for a quick and safe recovery.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Anthonys Memorial Hospital

Acute Care Hospitals · Effingham, IL

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140032

Location503 N Maple StreetEffingham, IL 62401 · Effingham County

Emergency services Birthing friendly

Riverside Medical Center

Acute Care Hospitals · Kankakee, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140186

Location350 N Wall StKankakee, IL 60901 · Kankakee County

Emergency services Birthing friendly

Sarah Bush Lincoln Health Center

Acute Care Hospitals · Mattoon, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140189

Location1000 Health Center Drive P O Box 372Mattoon, IL 61938 · Coles County

Emergency services Birthing friendly

Crawford Memorial Hospital

Critical Access Hospitals · Robinson, IL

OwnershipGovernment - Hospital District or Authority

CMS Certification Number141343

Location1000 North Allen StreetRobinson, IL 62454 · Crawford County

Emergency services

Fayette County Hospital

Critical Access Hospitals · Vandalia, IL

OwnershipVoluntary non-profit - Other

CMS Certification Number141346

Location650 W Taylor StVandalia, IL 62471 · Fayette County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.8/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

75.59

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)

Lower rates are better for this measure.

0.03%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

6 suppliers23 claims23 services$71.54 avg. paid by Medicare

Lower extremity orthoses, not otherwise specified L2999

DME-Orthotic Devices · category DF000N

2 suppliers16 claims17 services$77.11 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FRANK S LEE M.D.

Orthopaedic Surgery